CPCS CPCS - Certified Provider Credentialing Specialist Accreditation Standards and Compliance Questions and Answers 2

Question 1

Which accreditation organization requires a credentialing committee to include at least one physician member when making privileging recommendations?

Accepted Answer

The Joint Commission (TJC)

Answer

NCQA

Answer

URAC

Answer

DNV GL Healthcare

Question 2

URAC's credentialing accreditation standard requires initial credentialing to be completed within how many days of receiving a completed application?

Accepted Answer

120 days

Answer

60 days

Answer

90 days

Answer

180 days

Question 3

Which NCQA credentialing standard addresses the delegation of credentialing activities to another organization?

Accepted Answer

CR 9

Answer

CR 1

Answer

CR 7

Answer

CR 12

Question 4

DNV GL Healthcare integrates which management system standard into its hospital accreditation program?

Accepted Answer

ISO 9001

Answer

ISO 14001

Answer

ISO 45001

Answer

ISO 27001

Question 5

Under NCQA standards, which of the following is considered an 'adverse action' that must be reported to the NPDB?

Accepted Answer

Voluntary surrender of privileges while under investigation

Answer

Granting privileges with conditions

Answer

Temporary suspension pending investigation lasting less than 30 days

Answer

Denial of initial application for administrative reasons

Question 6

Which accreditation body requires a 'deemed status' survey that satisfies Medicare Conditions of Participation?

Accepted Answer

TJC and DNV GL Healthcare

Answer

NCQA only

Answer

URAC only

Answer

NCQA and URAC